HomeMy WebLinkAboutX2021-2381 - Permit Applicationr 22t Form
rm .� Worksheet for Combo Building & Solar Permit Application ��°��
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Com
r' Residential City of Newport Beach - Building Division eci
NOTE: PLAN r.HFr:u FFFB ni IC Ar r!..l , -1.,...�..
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(—Building (—Grading rDrainage F_Elec rMech (—Plum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F Flood F Fire r' Liq f Landslide f N/A Floor Suite No
80 Evening Canyon
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Description of Work
2 Bio retention planters & 2 sump pumps (1 for each planter)
__
Use Const Type
43�erimeter
# StoriesF # Units (if Res)f
Planter alone west property line is 2'-8" tall x 35' perimeter
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Valuation $
Material/Labor
New/Add SF�—, Remodel SF �—
Garage/New/Add—,
OWNER'S NAME Last
First
Owner's Address
Owner's E-mail Address
City _ State F—'
ZIP [— TelephoneF—
APPLICANT'S NAME Last
First
Applicant's Address
Applicant's E-mail Address
_�
City F _ State 1
ZIP �---_ TelephoneF—
ARCHITECT/DESIGNER'S NAME Last
First F� Lic. F--
Architect/Designers Address
_ No.
Architect/Designer's E-mail Address
City— State F_
Zip F— Telephoned
ENGINEER'S NAME Last
First F Lic. No.F—
Enrgineer'sAddress
City State
Zip r
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CONTRACTOR'S NAME/COMPANY F
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rif(S` Classy
Contractor's Address
Contra _. , t-mail Address
City F_ State r
Zip [—, TelephoneF—
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT i
PLAN CHECK NO. b
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $